NPI | 1013219930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC-006344) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC-002554) |
Enumeration Date | 2010-11-29 |
Last Update Date | 2024-04-29 |